NPIMap

Organization Active NPI

West Coast Prosthetics Incorporated

  • Prosthetic/Orthotic Supplier
  • Monrovia, CA
National Provider Identifier
1710314497
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
WEST COAST PROSTHETICS INCORPORATED
Practice address
210 Kruse Ave
Monrovia, CA 91016-4831
Phone
(626) 256-6360
NPI assigned
Sep 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kevin Bradley Mohlman, CP
Title
Ceo
Phone
(626) 256-6360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

210 Kruse Ave
Monrovia, CA 91016-4831

Mailing address

210 Kruse Ave
Monrovia, CA 91016-4831
Phone (626) 256-6360

National Provider Directory

National Provider Directory
Tax ID family
West Coast Prosthetics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1710314497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 KRUSE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910164831",
            "telephone_number": "626-256-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 KRUSE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910164831",
            "telephone_number": "626-256-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST PROSTHETICS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "MOHLMAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-256-6360",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.